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NEW <br /> ', SITIVE 781 East Washm on Blvd, CHAIN QF CUSTODY A <br /> � PNALYSIS REDDESTr <br /> E os Angeles,CA 90021 f DATE "�r 0 <br /> 0 PAGE ` OF <br /> LAB S ERV I C E (2131 745-5312 FAX(2131 745-6372 LOG BOOK NO FILE NO LAB NO <br /> CLIENT NAME G ANALYSES REQUESTED AIRBiLL NO: <br /> PROJECT NAME PROJECT NO PO NO COOLER TEMP• <br /> PRESERVED' <br /> - <br /> ADDRESS 64k 112, QC REPORT <br /> PROJECT MANAGER PHO Nft"NI, 9.155FARPjff LEVEL <br /> SAMPLER NAME REMARKS: <br /> (Printed) {Signature) <br /> TAT(Analytical Turn Around Time) 0-Same Day, 1 -24 Hour, 2-48 Hour,dN= RMAL <br /> CONTAINER TYPES B-Brass,G a Glass,P a Plas , V - OA Yat,0=0ther k +f I <br /> SAMPLE DATE TIME00' MATRIX CONTAINER <br /> NO SAMPLED SAMPLED SAM DESCRIPTION WATER seri SLUM OTHER TAT a TYPE COMMENTS. <br /> 2, • � \ N v \ <br /> V \ <br /> '1ka 0001A14r, a -- v <br /> Ren hed 8y c4tut:0 Printed Name ecewed gn r and Printed Name] Dale Time r AMPLE DISPOSITION <br /> Samples returned to client? YES NO <br /> geimqupshed By fSgnature and Printed Namei Rece By( nature and ed N me] Date Time <br /> 2 Samples will not be stored over 30 days unless <br /> Reanqushed 9y lSxgnatuae and Pirated Namel Received By(Signature an noted Namei Date Time additional storage time is requested <br /> 3 Storage time requested days <br /> SPECIAL INSTRUCTIONS <br /> By Date <br /> Np r n[,v <br />